Introducing QuaT Claim Scrubbing Tool, an advanced solution developed by Meditechnos to optimize your revenue cycle management (RCM) process and maximize your reimbursement rates. With QuaT, healthcare organizations can significantly reduce claim denials, improve coding accuracy, and enhance overall revenue performance.

QuaT Claim Scrubbing Tool leverages state-of-the-art technology and intelligent algorithms to analyze and validate claims before submission. By automating the claim scrubbing process, QuaT identifies potential errors, inconsistencies, and missing information in real time, enabling your organization to correct issues proactively and increase the chances of first-pass claim acceptance.

QuaT is a suite of software tools that are designed to automate quality control and assurance processes in the healthcare industry. These tools can be used by medical professionals, researchers, and other stakeholders to streamline workflows, reduce errors, and improve patient outcomes.

QuaT automation tools can help healthcare professionals save time, reduce errors, and improve patient outcomes by automating repetitive tasks and ensuring that quality control and compliance processes are followed consistently.

QuaT User Guide

Highlights of "QuaT"

It can help medical professionals manage large amounts of patient data, including electronic medical records, lab reports, and imaging studies. The software can automate data entry and ensure that all patient information is accurate and up-to-date.

These tools can automate quality control processes, such as checking for errors in medical records, ensuring that lab tests are performed correctly, and verifying that medications are prescribed and administered correctly.

It generates reports on patient outcomes, quality control processes, and compliance monitoring. These reports can help medical professionals identify areas for improvement and track progress over time.

By reducing the time required for testing, automation can lead to faster diagnosis and treatment, resulting in improved patient outcomes.

QuaT automation tools can help healthcare organizations ensure compliance with regulations and standards, reducing the risk of non-compliance penalties and improving patient safety.

Key features and benefits of QuaT Claim Scrubbing Tool

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    Comprehensive Claim Validation: QuaT thoroughly examines claims against a robust database of payer-specific rules, regulatory requirements, and industry best practices. It checks for errors related to coding, modifiers, medical necessity, billing guidelines, and other critical parameters.

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    Real-time Error Identification: QuaT instantly flags potential errors and provides detailed alerts and suggestions for correction. This allows your billing and coding teams to address issues promptly, reducing the risk of claim denials and minimizing the need for time-consuming manual intervention.

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    Customized Rule Engine: QuaT's flexible rule engine allows you to configure and customize validation rules based on your organization's specific needs and payer requirements. This ensures that the tool aligns perfectly with your unique workflows and helps you adhere to the ever-changing billing regulations.

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    Increased Revenue and Efficiency: By minimizing claim denials and rejections, QuaT streamlines the revenue cycle process, accelerates reimbursement timelines, and enhances revenue generation. Its automated nature eliminates manual tasks, freeing up valuable time for your staff to focus on higher-value activities.

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    Reporting and Analytics: QuaT offers comprehensive reporting and analytics capabilities, providing you with actionable insights into claim performance, denial trends, and areas for improvement. These insights empower you to make data-driven decisions, optimize your RCM strategies, and drive financial success.

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    Seamless Integration: QuaT seamlessly integrates with your existing RCM systems, including electronic health record (EHR) and practice management software, ensuring a smooth implementation process and minimal disruption to your operations.

Quat Screen

The reduction of regular and monotonous activities is being driven by automated processes. The time, expense, and effort associated with submitting claims can be greatly reduced for businesses using “QuaT”.

Uploads, problems, warnings, and document timelines are displayed on the dashboard.
Data can be filtered by user information and the from/to dates.

Need a solution for claim rejection and denial.
QuaT is here to assist.

OR
Insurance Eligibility

Frequently Asked Questions

Our business model is not to integrate and have this as a stand alone tool which can work independently of the PMS.

Any number of patients in a single EDI 837 file or multiple files. The result will be given after processing everything as an excel file with separate sheets for each EDI 837 file uploaded.

No it does not. Claim eligibility and benefit inquiry is done with our other tool VeriT.

No it does not give CPT and Modifier suggestions right now. Each practice has their own set of guidelines.

Yes it is possible. We can add it on demand.

As soon as possible, we regularly update the rule engine with the latest guidelines and customer requirements.

Our tool covers a list of 27 possible types of error groups such as Subscribers ID, Patient Name, Patient DOB, Patients Gender, Patients Address, Insured Address, QUAL - qualifiers, Referring Doctor, Diagnostics or Nature of Illness, Reference Number, Date of Service, Place of Service, CPT - Current Procedural Terminology, Modifier, Diagnosis pointer, Charges amount, Provider NPI, Tax Number, Patient Account Number, Facility NPI, Billing NPI, Total Charges, Billing Address, Facility Address, Billed Amount vs Allowed amount, ICD - International Classification of Diseases and NDC - National Drug Code.

Hosted in our cloud server and we can also host it at the client premises.

No it is not specific to a speciality. All the guidelines have been implemented. We can always customize it to our customers' speciality if required.

Our scrubber finds errors that are not covered by the clearing house scrubbers.